Banca de QUALIFICAÇÃO: ELIELTON PEDROZA DOS SANTOS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : ELIELTON PEDROZA DOS SANTOS
DATE: 30/08/2021
TIME: 16:00
LOCAL: Online
TITLE:

THE NURSING TECHNICIAN'S ACTIVITY IN THE OPERATING ROOM OF A PUBLIC HOSPITAL FOR TRAUMA OF NATAL/RN: A CONTRIBUTION OF ERGONOMICS TO THE PREVENTION AND MITIGATION OF ADVERSE EVENTS AND THE IMPROVEMENT OF PATIENT SAFETY

KEY WORDS:

Ergonomics. Patient safety. Adverse events. Nursing. Operating room.

PAGES: 120
BIG AREA: Engenharias
AREA: Engenharia de Produção
SUBÁREA: Engenharia do Produto
SPECIALTY: Ergonomia
SUMMARY:

It is expected that the patient who is treated in a hospital will leave there in better health than before, and cured. This is not always what happens and there are several reasons, technical, organizational, contextual and structural, that threaten the safety of certain patients, which go beyond the intrinsic evolution of the health problem that each one has, which can worsen their health. This is the case of the Adverse Event (AE). Understanding the hospital as a system, and the nursing procedures in the surgical center as part of the health care activity, the AE is the incidental manifestation of some variability that occurs during the patient's health care actions. Adverse events (AEs) are increasingly at the center of public policy concerns around the world, as well as in hospital management systems and the scientific community, because this type of occurrence is not rare, it has caused many victims, generating a worsening of the clinical condition, sequelae, deaths, prolonged treatment and hospitalization time, and increased costs with the patient's health. According to data from ANVISA, in Brazil, in 2017, there were 3,095 incidents in surgical centers, accounting for 403 failures during the surgical procedure, with part of these numbers represented by AEs. In Rio Grande do Norte, between December 2019 and November 2020, there were 18 failures during the surgical procedure, with 01 death. It is known, however, that these data are underreported. The international goals of Patient Safety (PS) are a very important step to achieve safe care, with the purpose of mitigating or eliminating the risk of AEs, but changes are needed in the organizational safety culture of the hospital institution, aimed at for conscious and permanent learning. Thus, greater attention must be paid to the implementation of measures to ensure surgical safety within hospitals by all involved. In this sense, the World Health Organization (WHO) established guidelines to promote SP during surgical procedures, defining steps and responsibilities of the entire multidisciplinary team, with one of its objectives being to ensure that the correct procedure is performed on the correct patient, in the correct location, with all necessary resources available. In the hospital context, Ergonomics aims to understand the technical, organizational and individual variations existing in work situations, of the contrants and physical, cognitive and organizational demands of the work activity of health professionals, in addition to their responses (strategies, regulations) professionals in the face of variability, contrants and requirements, and the relationship of all this with PS. This project has as general objective to analyze the activity of the nursing technician regarding the contrants and variability of the activity involved and its relationship with the occurrence of AEs, in addition to investigating the strategies and regulations adopted by this professional in the operating room of a Hospital for Trauma in Natal/RN. Methodologically, bibliographic research, document analysis and field research will be carried out. For field research, the situated and participatory method of Ergonomic Work Analysis (EWA) will be used, through which interactional and observational techniques will be applied, aided by photographic and filming records. The general hypothesis of the study is that the nursing technician's activity presents contrants and variability that can favor the emergence of AEs, causing them to adopt strategies and regulations to prevent or mitigate the occurrence of these events, to ensure PS during the surgical process. This research will have a fundamental contribution to the management of PS during the surgical process, resulting in a decrease in the occurrence of AEs related to this process and, consequently, improving the quality of the PS itself and the service provided as a whole. Finally, it will contribute, scientifically, to the theoretical and methodological advance of the interdisciplinary field of Ergonomics applied to PS, due to the situated and ethnographic nature of the research.

 

BANKING MEMBERS:
Presidente - 1217772 - RICARDO JOSE MATOS DE CARVALHO
Interno - 1142787 - JOSE ALFREDO FERREIRA COSTA
Externo ao Programa - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA
Externa à Instituição - MARIA CHRISTINE WERBA SALDANHA - UFPB